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Deficiency Records for Guardian Rehabilitation Hospital
A list of the most recent deficiencies for Guardian Rehabilitation Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Guardian Rehabilitation Hospital. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-08-22 | 2024-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-09-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-09 | 2024-08-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-20 | 2024-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-20 | 2024-07-15 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-01 | 2024-05-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-01 | 2024-05-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-22 | 2024-04-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-07 | 2024-04-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-07 | 2024-04-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-03-07 | 2024-04-06 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-02-22 | 2024-03-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-02-22 | 2024-03-20 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-15 | 2024-03-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-11 | 2024-03-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-11 | 2024-03-08 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-11 | 2024-03-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-11 | 2024-03-08 | Y |
| Post nurse staffing information every day. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-11 | 2024-03-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-11 | 2024-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-12-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-30 | 2023-09-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2023-01-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-31 | 2022-06-10 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-05-31 | 2022-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-31 | 2022-06-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-06 | 2022-05-27 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-10-22 | 2022-05-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-22 | 2021-11-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-22 | 2021-11-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-22 | 2021-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-22 | 2021-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-22 | 2021-11-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-22 | 2021-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-22 | 2021-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-22 | 2021-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-22 | 2021-11-16 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-10-22 | 2021-11-16 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-10-22 | 2021-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-08-25 | 2019-09-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-08-25 | 2019-09-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-25 | 2019-09-19 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-25 | 2019-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-25 | 2019-09-19 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-08-25 | 2019-09-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-25 | 2019-09-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-08-25 | 2019-09-19 | N |
| Provide or obtain dental services for each resident. | Health | 2019-08-25 | 2019-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-25 | 2019-09-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-25 | 2019-09-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-24 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-24 | 2019-09-19 | N |
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